JENNIFER J PACACCIO Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****78

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

PACACCIO

Business Name

JENNIFER J PACACCIO

Original Issue Date

06/22/2010

Effective Date

06/22/2010

Expiration Date

01/31/2011

City

YORKVILLE

State

Zip

60560

County

KENDALL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/10/2011